Epidemiology of male osteoporosis in Denmark (1996–2018)

Autor: Rasmus Bruhn, Alma Becic Pedersen, Uffe Heide-Jørgensen, Vera Ehrenstein
Rok vydání: 2023
Předmět:
Zdroj: Bruhn, R, Pedersen, A B, Heide-Jørgensen, U & Ehrenstein, V 2023, ' Epidemiology of male osteoporosis in Denmark (1996-2018) ', Osteoporosis International, vol. 34, no. 5, pp. 935-942 . https://doi.org/10.1007/s00198-023-06720-y
ISSN: 1433-2965
0937-941X
DOI: 10.1007/s00198-023-06720-y
Popis: UNLABELLED: Osteoporosis in men may be underdiagnosed. One in four men in Denmark will develop osteoporosis after age of 50 years, with fracture as a common presenting symptom.PURPOSE: The aim of this study was to describe epidemiology of male osteoporosis in Denmark.METHODS: In this nationwide registry-based cohort study, we identified men with osteoporosis, 50 years or older, residing in Denmark, during the years 1996-2018. Osteoporosis was defined as one of the following: a hospital diagnosis of osteoporosis; a hospital diagnosis of osteoporosis fracture; or an outpatient dispensing of an anti-osteoporosis medication. We reported annual incidence and prevalence and described the distribution of fractures, comorbidities, socioeconomic status, and initiation of anti-osteoporosis therapy among men with osteoporosis. Selected characteristics were also described among men without osteoporosis of similar age.RESULTS: There were 171,186 men fulfilling the study criteria for osteoporosis. The overall age-standardized incidence rate of osteoporosis was 8.6 per 1000 person-years (95% confidence interval (CI), 8.5-8.6), varying between 7.7 and 9.7, while the prevalence increased from 4.3% (95% CI, 4.2-4.3) to 7.1% (95% CI, 7.0-7.1) during the 22-year period. The remaining-lifetime risk of developing osteoporosis after age of 50 years was close to 30%. The proportion of men initiating anti-osteoporosis treatment within 1 year of diagnosis increased from 6.9% to 29.8%. Men with osteoporosis had more comorbidities and redeemed more medication than did men without osteoporosis of similar age.CONCLUSION: Osteoporosis among men may be undertreated despite increasing treatment initiation.
Databáze: OpenAIRE
Externí odkaz: